Family Worksheet: A Look At My Child’s Development

Family Worksheet: A Look At My Child¡¯s Development

This worksheet is provided to help you think about your child¡¯s strengths and needs. Early intervention service providers will

be utilizing evaluation tools to determine how your child¡¯s development compares to other children his or her age. For children

to be active and successful participants at home, in the community, and in places like child care or preschool programs, they

need to develop skills in three areas: (1) developing positive social-emotional skills; (2) acquiring and using knowledge and skills;

and (3) taking appropriate action to meet needs. As you complete the following chart, document what you have observed with

your child in these three functional areas of development. Consider the skills your child currently has, and the skills you feel are

important for your child to learn. It is important that what you know and believe about your child is included in the assessment

information and the IFSP team discussion.

DEVELOPING

POSITIVE SOCIALEMOTIONAL SKILLS

? Attend to people?

? Relate with family

members?

? Relate with other adults?

? Relate with other children?

? Display emotion?

? Respond to touch?

ACQUIRING AND USING

KNOWLEDGE AND

SKILLS

? Understand and respond

to directions and/or

requests from others?

? Think, remember, reason,

and problem solve?

? Interact with books,

pictures, and print?

? Understand basic concepts,

such as big, hot, etc.?

TAKING APPROPRIATE

ACTION TO MEET NEEDS

HOW DOES MY CHILD...

? Take care of his/her basic

needs, such as feeding and

dressing?

? Move his/her body from

place to place?

? User his/her hands to play

with toys and use crayons?

? Communicate his/her

wants and needs?

? Contribute to his/her own

health and safety?

ADDITIONAL QUESTIONS TO CONSIDER:

MY CHILD¡¯S STRENGTHS

MY CHILD¡¯S NEEDS

What are some of the things my child enjoys?

What skills does my child demonstrate or is

beginning to demonstrate?

What are some skills or behaviors that my

child does not do or are difficult for my child?

In what activities or skill areas does my child

need considerable support

and/or practice?

? What activities or people does my child enjoy?

? How does my child let me know what he/she

likes?

? When is my child most cooperative?

? What calms my child?

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? What activities or people does my child dislike?

? How does my child let me know what he/she

dislikes?

? What frightens my child?

? What frustrates my child?

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